Psychogenic nonepileptic seizures present as paroxysmal symptoms and signs mimicking epileptic seizures.The gold standard test is the synchronous recording by video,electrocardiogram and electroencephalogram.However,v...Psychogenic nonepileptic seizures present as paroxysmal symptoms and signs mimicking epileptic seizures.The gold standard test is the synchronous recording by video,electrocardiogram and electroencephalogram.However,video electroencephalogram is not available at many centers and not entirely independent of semiology.Recent studies have focused on semiological characteristics distinguishing these two circumstances.Clinical signs and symptoms provide important clues when making differential diagnosis.The purpose of this review is to help physicians differentiating psychogenic nonepileptic seizures better from epileptic seizures based on semiology,and improve care for those patients.展开更多
From 1979 to 2012,the Chinese government implemented the one-child policy to control population growth.In 2013,families in which either parent was the only one child were allowed to apply for a second child.In 2016,Ch...From 1979 to 2012,the Chinese government implemented the one-child policy to control population growth.In 2013,families in which either parent was the only one child were allowed to apply for a second child.In 2016,China’s universal two-child policy was finally imposed.As such,many children who had always been the center of their family’s universe due to the unique family structure stemming from the one-child policy era became elder siblings during their adolescence.We report a case of a 9-year-old girl who developed seizures after the birth of her younger sister.The combination of clinical observation,laboratory examinations,and video-electroencephalography was not enough to make a confident diagnosis of epilepsy initially.Given her patient history and follow-up investigation,we speculated the two-child policy was related to her seizures.To our knowledge,this is the first report of seizures strongly related to the two-child policy.展开更多
基金Department of Education Zhejiang Province Scientific Research Project(No.Y201839721).
文摘Psychogenic nonepileptic seizures present as paroxysmal symptoms and signs mimicking epileptic seizures.The gold standard test is the synchronous recording by video,electrocardiogram and electroencephalogram.However,video electroencephalogram is not available at many centers and not entirely independent of semiology.Recent studies have focused on semiological characteristics distinguishing these two circumstances.Clinical signs and symptoms provide important clues when making differential diagnosis.The purpose of this review is to help physicians differentiating psychogenic nonepileptic seizures better from epileptic seizures based on semiology,and improve care for those patients.
文摘From 1979 to 2012,the Chinese government implemented the one-child policy to control population growth.In 2013,families in which either parent was the only one child were allowed to apply for a second child.In 2016,China’s universal two-child policy was finally imposed.As such,many children who had always been the center of their family’s universe due to the unique family structure stemming from the one-child policy era became elder siblings during their adolescence.We report a case of a 9-year-old girl who developed seizures after the birth of her younger sister.The combination of clinical observation,laboratory examinations,and video-electroencephalography was not enough to make a confident diagnosis of epilepsy initially.Given her patient history and follow-up investigation,we speculated the two-child policy was related to her seizures.To our knowledge,this is the first report of seizures strongly related to the two-child policy.